Management of Root Perforation due to Internal Resorption: A 1-year Follow-up Study

Abstract

Diagnosing tooth resorption is critical for effective management. Internal resorption is a rare phenomenon, presenting with a pathognomonic clinical sign of a "pink spot" in the crown. In case of infection-induced tooth resorption, endodontic therapy needs to be carried out to decrease bacterial load within the pulp space and facilitate repair of resorbed tooth structure. Following inflammation of the pulpal tissue, clastic cells infiltrate the pulp chamber along with physiological blood supply and thereby initiate the process of internal tooth resorption. Tooth resorption involves two phases: an initial injury phase and the subsequent stimulation phase. The injury phase pertains to the pulpal tissue getting injured by a noxious stimulus, whereas stimulation is caused by the infection present in the vicinity of the tooth. Additionally, in a case where the resorption is caused due to trauma, a multidisciplinary approach becomes imperative so that the long-term solution is achieved. This paper presents a case with internal resorption with a poor prognosis. However, surgical intervention was made to preserve the tooth until a definitive procedure can be instituted. How to cite this article: Deep A, Thakur S, Singhal P, et al. Management of Root Perforation due to Internal Resorption: A 1-year follow-up Study. Int J Clin Pediatr Dent 2021;14(4):593-595.

Keywords: Inflammatory root resorption; Mineral trioxide agglomerate; Replacement resorption; Resin-modified glass ionomer cement; Surgical management.